Clinical trial Recruiting at 20 sites Observational Ages 21 Weeks to 32 Weeks

Comparing Dopamine and Norepinephrine for Low Blood Pressure in Very Preterm Infants with Sepsis

Official title: Dopamine vs. Norepinephrine for Hypotension in Very Preterm Infants With Late-onset Sepsis: An International Comparative Effectiveness Research Project

Run by Mount Sinai Hospital, Canada · NCT05347238 · Data updated 2026-11-12

This study is testing whether Dopamine or Norepinephrine works better to help very preterm infants with low blood pressure caused by sepsis.

More Extreme Prematurity trials

Quick facts

Study typeObservational
Ages21 Weeks to 32 Weeks
SexAll
Enrollment550 (estimated)
SponsorMount Sinai Hospital, Canada
Academic / other
Locations22 sites (Phoenix, Arizona and 21 other locations)
StatusRecruiting
StartedFebruary 6, 2023
Main results expectedJune 30, 2027
Study endsMarch 31, 2028
Registry record updatedOctober 16, 2026
Trial IDNCT05347238 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are very preterm infants born at or before 32 weeks gestational age who are more than 48 hours old and receiving Dopamine or Norepinephrine for suspected late-onset sepsis.

Probably not a fit

Patients with known chromosomal or genetic anomalies or those receiving other vasopressor therapies will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to evaluate the effectiveness of Dopamine versus Norepinephrine in treating fluid-unresponsive hypotension in very preterm infants suspected of having late-onset sepsis. Utilizing real-world data from the Canadian Neonatal Network, the study will analyze treatment outcomes from a large patient registry across multiple hospitals. By standardizing treatment strategies and employing a comparative effectiveness research framework, the study seeks to provide insights into the relative safety and efficacy of these commonly used medications in a vulnerable population.

Why it matters

Potential benefit: If successful, this study could improve treatment protocols for very preterm infants with hypotension, potentially reducing mortality rates.

How similar studies have gone: While there is limited evidence specifically for this population, comparative effectiveness research has shown promise in other settings, suggesting potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≤32 weeks gestational age and \> 48 hours of life
* Receiving primary vasopressor therapy with Dopamine or Norepinephrine in the context of suspected late-onset sepsis or necrotizing enterocolitis with systemic hypotension (defined as: culture positive or negative bloodstream infection)

Exclusion Criteria:

* Known chromosomal or genetic anomalies
* Receiving primary therapy with agents other than Dopamine or Norepinephrine

Where it's running

  • Dayton Children's Hospital
    Dayton, Ohio, United States
    Recruiting
  • Methodist Healthcare
    San Antonio, Texas, United States
    Recruiting
  • Foothill's Medical Centre
    Calgary, Alberta, Canada
    Recruiting
  • BC Women's Hospital
    Vancouver, British Columbia, Canada
    Recruiting
  • Victoria General Hospital
    Victoria, British Columbia, Canada
    Recruiting
  • Winnipeg Health Sciences Centre
    Winnipeg, Manitoba, Canada
    Recruiting
Show 16 more locations
  • IWK Health Centre
    Halifax, Nova Scotia, Canada
    Recruiting
  • McMaster Children's Hospital
    Hamilton, Ontario, Canada
    Recruiting
  • London Health Sciences Centre
    London, Ontario, Canada
    Recruiting
  • Children's Hospital of Eastern Ontario
    Ottawa, Ontario, Canada
    Recruiting
  • Hospital for Sick Children
    Toronto, Ontario, Canada
    Recruiting
  • Mount Sinai Hospital
    Toronto, Ontario, Canada
    Recruiting
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario, Canada
    Recruiting
  • Windsor Regional Hospital
    Windsor, Ontario, Canada
    Recruiting
  • CHU Sainte- Justine
    Montreal, Quebec, Canada
    Recruiting
  • Jewish General Hospital
    Montreal, Quebec, Canada
    Recruiting
  • Montreal Children's Hospital
    Montreal, Quebec, Canada
    Recruiting
  • University Cork College
    Cork, Ireland
    Recruiting
  • Shamir Medical Center
    Be’er Ya‘aqov, Israel
    Recruiting
  • La Paz University Hospital
    Madrid, Spain
    Recruiting
  • Banner-University Medical Center Phoenix
    Phoenix, Arizona, United States
    Not yet recruiting
  • St.Boniface Hospital
    Winnipeg, Manitoba, Canada
    Not yet recruiting

Study contacts

  • Principal investigator: Amish Jain, MBBS, MRCPCH, PhD — Mount Sinai Hospital, Canada
  • Study coordinator: Amish Jain, MBBS, MRCPCH, PhD
  • Email: amish.jain@sinaihealth.ca
  • Phone: 416-586-4800

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.